Vaping is associated with increased length of stay among cardiac inpatients.

IF 1.9 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tobacco Induced Diseases Pub Date : 2025-07-30 eCollection Date: 2025-01-01 DOI:10.18332/tid/207800
Javad Heshmati, Kerri-Anne Mullen, Kathryn L Walker, Hassan Mir
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引用次数: 0

Abstract

Introduction: The rapid increase in e-cigarette use, especially among youth, raises significant health concerns. Understanding their impact on high-risk populations, such as those with cardiovascular disease, is crucial for improving patient outcomes and reducing healthcare utilization. The aim of this study is to assess the impact of e-cigarette use on hospital length of stay (LOS) in patients with cardiovascular disease.

Methods: This cross-sectional survey was conducted at the University of Ottawa Heart Institute (November 2019-May 2020) among consecutive cardiology inpatients. Eligible participants were those admitted to the cardiac unit, fluent in French or English, and without cognitive or hearing impairments. The primary outcome is length of hospital stay. Data analysis included descriptive statistics and adjusted linear regression to explore e-cigarette use and hospital stay length, with significance set at p<0.05.

Results: Of 1616 cardiac patients, 1089 (73.0%) completed the survey. E-cigarette ever users were 10.4% (4.9% former, 5.5% current). Mean LOS was 11.03 days, longer for ever-users (13.1 days) than never-users (10.8 days). Ever users had a significantly longer LOS by 2.45 days (p=0.040), and current users by 3.24 days (p=0.039).

Conclusions: E-cigarette use is associated with longer hospital stays among cardiac patients, even after adjusting for confounders. This underscores the potential harmful effects of vaping on cardiac recovery. Further research is needed to explore these associations and their implications for healthcare utilization.

在心脏病住院患者中,电子烟与住院时间延长有关。
电子烟使用的迅速增加,特别是在年轻人中,引起了重大的健康问题。了解它们对高危人群(如心血管疾病患者)的影响,对于改善患者预后和降低医疗保健利用率至关重要。本研究的目的是评估电子烟使用对心血管疾病患者住院时间(LOS)的影响。方法:这项横断面调查是在渥太华大学心脏研究所(2019年11月- 2020年5月)对连续心脏病住院患者进行的。符合条件的参与者是那些住在心脏科,法语或英语流利,没有认知或听力障碍的人。主要结果是住院时间。数据分析包括描述性统计和调整线性回归来探讨电子烟使用与住院时间的关系,显著性设定为:在1616名心脏病患者中,1089名(73.0%)完成了调查。曾经使用电子烟的用户占10.4%(以前是4.9%,现在是5.5%)。平均LOS为11.03天,曾经使用过的用户(13.1天)比从未使用过的用户(10.8天)更长。曾经用户的LOS明显延长了2.45天(p=0.040),当前用户延长了3.24天(p=0.039)。结论:即使在调整混杂因素后,电子烟的使用与心脏病患者的住院时间延长有关。这凸显了电子烟对心脏恢复的潜在有害影响。需要进一步的研究来探索这些关联及其对医疗保健利用的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Tobacco Induced Diseases
Tobacco Induced Diseases SUBSTANCE ABUSE-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
5.30
自引率
5.40%
发文量
95
审稿时长
12 weeks
期刊介绍: Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community. The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.
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